Greetings from Seattle,
We are moving to convert a local hotel to a COVID unit (non-ICU). We will not have the ability to have Pyxis connected to our network, so the Pyxis will operate as stand alone for controled substances. Currently, the thought is to do a cartfill for other meds.

Has anyone started this type of conversion? Any suggestions &/or lessons learned would be appreciated.

Be safe.
Laura Steinmetz-Malato, PharmD
Swedish Regional Manager, Medication Safety

Has anyone developed guidance on managing infusion pumps outside of patient rooms in COVID 19 patients to conserve PPE? Thanks in advance and stay well!

WHAT WILL BE THE EXPIRY DATE OF BULK TABLETS AFTER OPENING THE CONTAINER IN HOSPITAL PHARMACY I FOUND IN NHS GUIDELINES IS ONE YEAR CAN YOU PLEASE SHARE WITH ME

Hi all -

Hello! We are a two hospital health system with an outpatient oncology center, so we try to keep our oncology patients in one facility. With all the new indications/uses for biologic treatments (i.e., Rituxan, Remicade), this expectation will be harder to uphold as treatment of Crohn's disease, ILD and certain nephrology conditions should not warrant a transfer. We are starting with our policy to differentiate the credentialing requirements for the administration of chemotherapy and biologic agents used in non-oncology indications.

With the current situation of the COVID-19 pandemic, healthcare workers are faced with considerable stress and anxiety. A concern I have is behavioral drift and deviation from safety practices which would otherwise be normal operating procedure in undistracted workers. At your institutions, is any work being done now to address this potential concern? Am considering messaging with STAR (stop, think, act, review) and am interested in other ideas you may have.
Thanks and be safe!

Hi,
In regards to the current COVID situation, what are various sites doing for ADC precautions and cleaning in your high contact rooms such as trauma, OR, etc. where patient care and the machine are in the same room?

Currently, their is concern that there isn't resource for full decontamination and risk of having to dispose of all contents. Also thoughts of moving machines out of these rooms.

Thanks for the help and support.

if we did dilution of vancomycin in ISO 5 PEC  and put BUD of 48 Hours according to the manufacturer. If I need to withdraw a dose from the above-diluted solution of vancomycin after a while Is it complementary to withdraw a dose in ISO 5 PEC under aseptic condition or can we withdraw a dose from the above vancomycin dilution outside in the normal environment If we withdraw dose outside environment then can we carry on the same Bud of 48 hours for vancomycin 

Is anyone utilizing intravenous lidocaine in the periop setting as part of a multimodal approach to reduce opioid need? Are you willing to share your experience?

If you considered this but are not doing it, why? A Cochrane review published in June 2018 concluded

Hello-

Wondering if anyone has made any changes with compounding solutions for irrigation used in surgery after the removal of bacitracin from the market. We are going to try and use Chlorpactin as an alternative but it is a non-sterile powder and need ideas of how this has been compounded in your site. Thanks in advance!